Perceived stress in relation to quality of life and resilience in patients with advanced chronic kidney disease undergoing hemodialysis
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Title
Perceived stress in relation to quality of life and resilience in patients with advanced chronic kidney disease undergoing hemodialysisAuthor (s)
Date
2021-01-11Publisher
MDPIISSN
1660-4601; 1661-7827Bibliographic citation
García-Martínez, P.; Ballester-Arnal, R.; Gandhi-Morar, K.; Castro-Calvo, J.; Gea-Caballero, V.; Juárez-Vela, R.; Saus-Ortega, C.; Montejano-Lozoya, R.; Sosa-Palanca, E.M.; Gómez-Romero, M.d.R.; et al. Perceived Stress in Relation to Quality of Life and Resilience in Patients with Advanced Chronic Kidney Disease Undergoing Hemodialysis. Int. J. Environ. Res. Public Health 2021, 18, 536. https://doi.org/10.3390/ ijerph18020536Type
info:eu-repo/semantics/articlePublisher version
https://www.mdpi.com/1660-4601/18/2/536Version
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Abstract
Patients with chronic kidney disease undergo various stages of therapeutic
adaptation which involve lifestyle modifications, physical changes, and adjustment to renal replacement therapy. This process produces adaptive ... [+]
Patients with chronic kidney disease undergo various stages of therapeutic
adaptation which involve lifestyle modifications, physical changes, and adjustment to renal replacement therapy. This process produces adaptive stress. Objective: To identify how resilience, healthrelated quality of life, and sociodemographic, clinical, and hemodialysis routine-related variables are
related to perceived stress in patients with chronic kidney disease receiving hemodialysis for more
than six months. Methods: This was a multicenter and cross-sectional study involving 144 patients
from the Valencian Community (Spain). The assessment scales used for the study were the Perceived
Stress Scale 10, the Kidney Disease Quality of Life 36, and the Connors–Davidson Resilience Scale.
To identify variables with predictive power over Perceived Stress Scale 10 scores, multiple regression
analyses were performed. Results: Employment status (p = 0.003), resilience (p < 0.001), and quality
of life (p < 0.001) were shown to be significantly related to perceived stress. The regression models
determined that health-related quality of life and resilience explained up to 27.1% of the variance of
total PSS10 scores. Conclusions: Resilience was identified as one of the most important predictors of
Perceived Stress Scale 10 scores. Thus, the development of interventions to promote resilience may
have a positive impact on perceived stress in patients with chronic kidney disease. [-]
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International Journal of Environmental Research and Public Health. Vol. 18, issue 2 (January-2 2021)Rights
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